Liberty University Enrollment Form 10-11 indd - liberty 2025

1. Click ‘Get Form’ to open the Liberty University Enrollment Form in the editor.
2. Begin by filling in your personal information, including your last name, first name, mailing address, and contact numbers. Ensure all details are accurate for effective communication.
3. Indicate your type of visa held (J-1, F-1, or Other) and provide your date of birth. This information is crucial for enrollment eligibility.
4. List any dependents you wish to enroll by providing their names, dates of birth, and relationship to you. Remember that dependents must be enrolled simultaneously with the student.
5. Select the appropriate enrollment period and calculate the total premium based on your selections. Ensure you understand the payment options available.
6. Complete the payment section by choosing either credit card or check/money order. If using a credit card, ensure to include all necessary details and signatures.
7. Finally, read through the declaration statement carefully before signing and dating the form at the bottom to confirm accuracy and understanding.

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